| Date of birth: | Sep 25, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00018831 |
| Booking date: | Apr 2, 2004 |
| Release date: | Sep 11, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.1 - POCS(ADDERALL)2 CTS; POM; POP |
| Offense date: | Apr 2, 2004 |
| Case number: | 04CF761 |
| Statute: | 941.02 - FUGITIVE FROM JUSTICE/ NEVADA |
| Offense date: | Apr 2, 2004 |